Search
 

Aetna under investigation over care denials

The California insurance commissioner has begun an investigation after a former medical director admitted under oath that he never looked at patients records in determining whether to approve or deny care.

By Marlene Y. Satter | Updated on February 12, 2018
In his deposition, the doctor said he was following Aetna's training, in which nurses reviewed records and made recommendations to him. (Photo: Shutterstock)

The California insurance commissioner has begun an investigation of health insurer Aetna after a former medical director for the company admitted under oath that he never looked at patients’ records in determining whether to approve or deny care.

CNN reports that after reviewing a deposition from Dr. Jay Ken Iinuma, who served as medical director for Aetna for Southern California from March 2012 to February 2015, California insurance commissioner Dave Jones expressed “outrage” at the idea that coverage was being denied without a physician reviewing patient records.

Complete your profile to continue reading and get FREE access to BenefitsPRO.com, part of your ALM digital membership.

Your access to unlimited BenefitsPRO.com content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Critical BenefitsPRO.com information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and BenefitsPRO.com events.
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com

Already have an account?

NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

Recommended Stories

BenefitsPRO Broker Expo 2025 (BPRO)Event

The premier educational and networking event for employee benefits brokers and agents.

Get More Information
 

BenefitsPRO

Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join BenefitsPRO.com now!

  • Unlimited access to BenefitsPRO.com - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
  • Exclusive discounts on BenefitsPRO.com and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2024 ALM Global, LLC. All Rights Reserved.